Complaint Investigation Report

445202597-9-19-2024-26-AS-KHOS-D9LRUN-20240930132012

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CENTRAL COAST CR/RES , 2580 N. FIRST STREET, STE. 350

This is an official report of an unannounced visit/investigation of a complaint received in our office on

06/23/2021 and conducted by Evaluator Grace Donato

COMPLAINT CONTROL NUMBER: 26-AS-20210623095010

Facility staff not following doctor's orders

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit.

Regarding the allegation of Facility staff not following doctor's orders, Reporting Party (RP) stated that the facility is not consistent with following through with doctor's orders. When the facility receives a doctor's order from the physician, it takes a long time for staff to log the information in the facility's system, and the Med Tech does not see the doctor's order for the resident.

LPA interviewed ED and it was stated that once the facility receives the doctors orders through fax. It is immediately updated in the system. Medication rooms has the fax machine. Memory Care Manager, Med Techs, Directors are able to update the system once the orders are received. LPA is not able to reach RP due to the number provided was a wrong number.

Based on interviews, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.